A case presentation on acute gastroenteritis pharmacotherapeutics 1

1. CASE PRESENTATION ON
ACUTE GASTERO ENTERITIS
K.SAI GOWTHAM
ІІ PHARM D
17P91T0009

2. DETAILS OF THE PATIENT :
A 45 year old female patient bearing I.P.NO:15632
was admitted in General ward on 21/12/18 and got
discharged on 25/12/18. The length of stay of
patient in the hospital was 5 days .

3. CHIEF COMPLAINTS:
 Loose stools
 Vomiting
 Abdominal pain
 Patient was conscious and Afebrile.

4. PAST MEDICAL HISTORY:
Hyperthyroidism.
SOCIAL HISTORY:
 Married
 Non - vegetarian

5. The physical exam on admission revealed the following findings:
 TEMP : 98.6 F
 PULSE : 82/min
 RR : 22/min
 BP :140/90mm Hg
 CVS : S1S2 +,

6. Vitals chart
VITALS DAY 1 DAY 2 DAY 3 DAY 4 DAY 5
BP (mm
of Hg)
140/90 150/90 130/90 120/90 100/80
RESP
(breathe
/min)
22 22 24 24 24
PULSE(b
pm)
82 86 90 92 80
TEMP 98.6 98.6 98.6 98.6 98.6

7. Laboratory investigations:
PARAMETERS RESULTS NORMAL RANGE
Haemoglobin 10.4 14 – 16 mg/dl
ESR 12 Upto 20mm/hr
PCV(packed cell volume) 31.8 38 – 47%
Total WBC 3100 4500 – 11000 cells/mm3
Eosinophils 6 2 – 6%
Total RBC 4 .3 4.3 – 5.5 mm3

8. Other tests:
Gastroscopy

9.  Normal gastrointestinal tract Affected gastrointestinal tract

10. DIAGNOSIS:
Acute Gastroenteritis
Causes of gastroenteritis:
1.Salmonella spp.
2.Enteropathogenic E.coli
3.Vibiro spp.

11. Treatment:
TRADE NAME GENERIC
NAME
DOSE ROA FREQUENC
Y
Treatment
1 2 3 4 5
INJ Emeset ondansetron 8mg/m
l
IV BD
INJ Metrogyl Metronidazol
e
500mg
/100ml
IV TID
CAP Pantacid pantoprazole
40mg
PO OD
INJ Monocef Ceftriaxone 1g/ml IV BD
T Neo
mercazole
Carbimazole 20mg PO TID
T Indreal Propranolol 40mg PO TID
+ + + + +
+ + + + -
+ + + + -
+ + + + +
+ + + + -
+ + + + +

12. SOAP NOTES

13. SUBJECTIVE:
 Loose stools
 Abdominal pain
 vomiting

14. OBJECTIVE:
 Decreased pcv
 Decreased haemoglobin
 Decreased WBC

15. Assessment:
DRUG INTERACTIONS:
No known drug interactions were found.
 Consumption of alcoholic beverages during treatment with
metronidazole is not recommended.
 It may occasionally trigger reaction in some patient similar
to disulfiram reaction.
 Metanidazole and ceftriaxone may interact with certain
foods and disease.

16. Plan
 To treat the dehydration caused
by loose stools. electrolyte
replenishers are suggested.
 Ondansetron, metronidazole and
pantoprazole are recommended
to treat acute gastroenteritis.
 Carbimazole is recommended to
treat hyperthyroidism.
 Propranolol is recommended to
treat increased blood pressure.
 Iron supplement is suggested to
improve haemoglobin level.
 Vitamin c supplements' are
suggested to increase WBC levels
in body.

18. Patient education:
Patient is adviced to take the medication regularly,
 Patient is adviced to report any signs of adverse effects,
 Proper diet should be taken with plenty of water or electrolyte
replenisher or rehydration liquid may be helpful.
 Regular check up of thyroid levels.
Life style modifications:
 Advised the patient to avoid tea, coffee and soda which may
worsen the condition.
 Try to minimise stress and to induce food like banana, apple, rice
which will help to treat the diarrhoea, associated gastroenteritis.
 Practice good hygienic conditions.
 Prefer regular exercise.